MHP Contact Information for EPSDT/TBS Mental Health Services Mental Health Plan Sutter/Yuba Mental Health Services Mental Health Director Name: Bradford Luz, Ph.D.

Source URL: www.dhcs.ca.gov

TBS Recipients as a Percentage of EPSDT  Children with MH Services ‐ Lake 10.00% 9.00% 8.00% 7.00%

Source URL: www.dhcs.ca.gov

Exhibit III – EPSDT Chart Reviews and Appeal Process Chart Review* *Note – EPSDT Chart review are not currently performed by MCO however the appeal process is still in progress from the[removed]FY

Source URL: www.dhcs.ca.gov

• Lawsuits
• Legal procedure
• Law
• Appellate review
• Appeal

Exhibit III A – EPSDT Chart Reviews and Appeal Process (MCO) *Formal Process (As proposed) CSD^ receives a formal appeal request, appeal logged.

Source URL: www.dhcs.ca.gov

• United States administrative law
• Appeal
• Law
• Administrative law judge
• Judges

MHP Contact Information for EPSDT/TBS Mental Health Services Mental Health Plan Inyo County Behavioral Health Mental Health Director Name: Gail Zwier, Ph.D.

Source URL: www.dhcs.ca.gov

TBS Recipients as a Percentage of EPSDT  Children with MH Services ‐ San Bernardino 10.00% 9.00% 8.00% 7.00%

Source URL: www.dhcs.ca.gov

MHP Contact Information for EPSDT/TBS Mental Health Services Mental Health Plan El Dorado County Mental Health Director Name:

Source URL: www.dhcs.ca.gov

MHP Contact Information for EPSDT/TBS Mental Health Services Mental Health Plan Madera County Behavioral Health Services Mental Health Director Name: Van Do-Reynoso, MPH, Interim Director of Behavioral Health Services

Source URL: www.dhcs.ca.gov

MHP Contact Information for EPSDT/TBS Mental Health Services Mental Health Plan Humboldt County Health and Human Services Mental Health Director Name: Asha George, Ph.D.

Source URL: www.dhcs.ca.gov

TBS Recipients as a Percentage of EPSDT  Children with MH Services ‐ Calaveras 10.00% 9.00% 8.00% 7.00%

Source URL: www.dhcs.ca.gov